Tricorrectional osteotomy for the correction of late-stage hallux limitus/rigidus

AJ SelnerLos Angeles Institute of Foot, Ankle, and Bunion Surgery, North Hollywood Medical Center, CA, USA.

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R BogdanLos Angeles Institute of Foot, Ankle, and Bunion Surgery, North Hollywood Medical Center, CA, USA.

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MD SelnerLos Angeles Institute of Foot, Ankle, and Bunion Surgery, North Hollywood Medical Center, CA, USA.

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EK BunchLos Angeles Institute of Foot, Ankle, and Bunion Surgery, North Hollywood Medical Center, CA, USA.

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RL MathewsLos Angeles Institute of Foot, Ankle, and Bunion Surgery, North Hollywood Medical Center, CA, USA.

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J RileyLos Angeles Institute of Foot, Ankle, and Bunion Surgery, North Hollywood Medical Center, CA, USA.

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The authors propose the use of the tricorrectional osteotomy for treatment of severe hallux limitus/rigidus as an alternative to joint-destructive procedures. A study of 19 patients with follow-up treatment ranges of 10 months to 6 years postoperatively was performed. Data were collected on preoperative and long-term postoperative x-rays, range of motion assessment, F-scan studies, and subjective patient questionnaires. High patient satisfaction along with increased range of motion, minimal complications, and an early return to activities make this an ideal procedure for grades II, III, and IV hallux limitus/rigidus.